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PCX 



WORLD INTELLECTUAL PROPERTY ORGANIZATION 
International Bureau 




INTERNATIONAL APPLICATION PUBUSHED UNDER THE PATENT COOPERATION TREATY (PCT) 



(51) International Patent Classification : 

Ci2Q 1/00, GOIN 35/00, 27/30, 27/327 



Al 



(U) International Publication Number: WO 00/28068 

(43) International Publication Date: 18 May 2000 (18.05.00) 



(21) International Application Number: PCT/GB99/03764 

(22) International fHing Date: 1 1 November 1999 (1 1 .1 1.99) 



(30) Priority Data: 
9824627.5 



1 1 November 1998 (1 1.1 1.98) GB 



(71) AppUcant (for all designated States except US): CAMBRIDGE 

SENSORS LIMITED [GB/GB]; Downhams House, Down- 
hams Lane, Cambridge CB4 IXT (GB). 

(72) Inventors; and 

(75) Inventors/Applicants (for US only): YON HIN, Bemadette 
[GB/GB]; Cambridge Sensors Limited, Downhams House. 
Downhams Lane, Cambridge CB4 IXT (GB). MCCANN, 
James [GB/GB]; Cambridge Sensors Limited, Downhams 
House, Downhams Lane. Cambridge CB4 IXT (GB). 
BLAIR, Neil [GB/GB]; 122 Limes Road, Hardwick. 
Cambridge CB3 7XU (GB), COX, Loma, Jean [GB/GB]; 
Cambridge Sensors Limited, Downhams House, Downhams 
Lane. Cambridge CB4 IXT (GB). 

(74) Agent: GILL JENNINGS & EVERY; Broadgate House, 7 
Eldon Street, London EC2M 7LH (GB). 



(81) Designated States: AE. AL. AM. AT. AU, AZ, BA, BB. BG, 
BR. BY. CA. CH. CN. CR, CU, CZ, DE. DK. DM, EE, 
ES, FI. GB. CD, GE, GH, GM, HR, HU. ID, IL, IN, IS, JP. 
KE, KG, KP, KR. KZ. LC, LK, LR. LS. LT, LU, LV. MA, 
MD, MG. MK. MN. MW. MX, NO, NZ, PL, FT, RO, RU, 
' SD. SB, S(3, SI, SK. SL, TJ, TM, TR, TT, TZ. UA, UG, 
US, UZ. VN, YU, ZA, ZW, ARIPO patent (GH, GM, KE, 
LS. MW. SD. SL, SZ, TZ, UG, ZW), Eurasian patent (AM, 
AZ. BY, KG, KZ. MD, RU. TJ. TM), European patent (AT, 
BE. CH, CY, DE, DK, ES. FI. FR, GB, GR, IE, IT. LU, 
MC. NL. FT. SE). QAPI patent (BF, BJ, CF, CG, CI, CM, 
GA, GN, GW, ML, MR, NE, SN. TD. TG). 



Published 

With international search report. 



(54) Title: ELECTRODE STRIPS FOR TESTING SMALL VOLUMES 
(57) Abstract 

A test strip comprising a support carries ah active electrode and a counterelectrode, and a layer of material within which a small 
volume of liquid to be tested can be distributed and provide contact between the electrodes, and wherein an analyte-^eciftc reagent is 
coated on tfie material. The layer of material can conveniently be provided in the fonn of a tape from which sections can be. cut or used 
sequentially. . ' 



FOR THE PURPOSES OF INFORMATION ONLY 



Codes used to identify States party to the PCT on the front pages of pamphlets publishing International applications under the PCT. 



AL 


Albania 


ES 


Spain 


LS 


Lesotho 


SI 


Slovenia 


AM 


Armenia 


FI 


Finland 


LT 


Lithuania 


SK 


Slovakia 


AT 


Austria 


FR 


Prance 


LU 


Luxembourg 


SN 


Senegal 


AU 


Australia 


OA 


Gabon 


LV 


Latvia 


SZ 


Swauland 


AZ 


Azertraijan 


GB 


United Kingdom 


MC 


Monaco 


TD 


Chad 


BA 


Bosnia and Heiz^ovina 


GE 


Georgia 


MD 


Republic of Moldova 


TG 


Togo 


BB 


Barbados 


Gil 


Ghana 


MG 


Madagascar 


TJ 


Tajikistan 


BE 


Belgium 


GN 


Guinea 


MK 


The former Yugoslav 


TM 


Turkmenistan 


BF 


Buridna Faso 


GR 


Greece 




Republic of Macedonia 


TR 


Turkey 


BG 


Bulgaria 


HU 


Hungary 


ML 


Mali 


TT 


Trinidad and Tobago 


BJ 


Benin 


IE 


Ireland 


MN 


Mongolia 


UA 


Ukraine 


BR 


Brazil 


IL 


Israel 


MR 


Mauritania 


uc 


Uganda 


BY 


Belanis 


IS 


Iceland 


MW 


Malawi 


us 


United States of America 


CA 


Canada 


IT 


Italy 


MX 


Mexico 


uz 


Uzbekistan 


CF 


Central African Republic 


JP 


Japan 


NE 


Niger 


VN 


Viet Nam 


CG 


Congo 


KE 


Kenya 


NL 


Netherlands 


YU 


Yugoslavia 


CH 


Switzerland 


KG 


Kyigyzstan 


NO 


Norway 


ZW 


Zimbabwe 


a 


C6cc d'lvoirc 


KP 


Democratic People's 


NZ 


New Zealand 






CM 


Camenxm 




Republic of Korea 


PL 


Poland 






CN 


China 


KR 


Republic of Korea 


PT 


Portugal 






cu 


Cuba 


KZ 


Kazakstan 


RO 


Romania 






cz 


Czech Republic 


LC 


Saint Lucia 


RU 


Russian Federation 






DE 


Germany 


U 


Liechtenstein 


SD 


Sudan 






DK 


Dcnmait 


LK 


Sri Lanka 


SB 


Sweden 






EE 


Estonia 


LR 


Liberia 


SG 


Singapore 







wo 00/28068 



PCT/GB99/03764 



1 

Electrode Strips for Testing Small Volumes 

Field of the Invention 

This invention relates to electrode strips for testing small volumes of, 
say, whole blood. 
5 Background of the Invention 

Diabetes is one of the most common endocrine conditions. Sufferers 
must monitor their blood glucose level frequently. This is usually achieved by 
the use of small test strips which detect blood glucose. 

Problems commonly experienced by users of these test strips are an 

10 inadequate amount of blood on the test strip and bad placement of the blood 
on the test strip. A number of devices have addressed this problem by using 
sample chambers that fill by capillary action. The sample is retained in close 
proximity to the electrodes which facilitate the measurement of the specific 
analyte in the sample; see EP-A-0170375 and US-A-5141868. 

15 Such known devices comprise electrodes deposited on a non-conducting 

substrate, coated with a reagent system specific for the analyte of interest and 
housed within a cavity whose dimensions are sufficiently small to allow 
introduction of a sample, ag. 2.5-3 pL in volume, by capillary action. The 
extent to vWiich these devices can be miniaturized is limited by both the 

20 manufacturing tolerances and the signal-to-noise ratio achievable with their 
chemistry. 

US-5820551 discloses a test strip comprising a support carrying a 
working electrode and a counter electrode, and an enzyme and a mediator that 
are coated on the active electrode. A drop of whole blood can provide a 
25 conducting path between the electrodes, and the concentration of glucose in 
the blood can be detemnined. The active electrode is exposed to a whole blood 
sample without an intervening membrane or other whole blood filter. 

WO-A-98/55856 (published after the priority date claimed for this 
Application) discloses an analyte-specific reagent coated on the conductive 
30 layer, and a monofilament mesh laid over the reagent and the reference 
electrode. A sample application area is provided at one edge of the mesh. 



wo 00/28068 



PCT/GB99/03764 



2 

Summary of the Invention 

According to a first aspect of tlie present invention, a test strip comprises 
a support carrying an active electrode and a counterelectrode, and a layer of 
a material within which a small volume of liquid to be tested can be distributed 
5 and provide contact between the electrodes, and wherein an analyte-specific 
reagent such as one component of a redox reaction, e.g. an enzyme, co-factor 
or mediator, is coated on the material. In particular, the invention provides a 
test strip for blood glucose, in which the sample requirement is very small, and 
efficient reaction l^inetics are achieved by the application of the reagents in a 

10 novel manner. 

The reagent-coated material may itself be in tape form. According to a 
second aspect of the invention, a flexible tape is of a material within which 
liquid can be distributed and on which are coated discrete areas of at least one 
component of a redox reaction. 

15 Description of the Invention 

In accordance with this invention, any one or more of the components of 
a redox reaction, e.g. an enzyme such as glucose oxidase or glucose 
dehydrogenase, a co-factor and a mediator may be applied to a mesh or 
membrane which is placed overthe device. For the purpose of illustration only, 

20 the invention may be described with reference to an enzyme-coated mesh. 
Whichever component or components are used, when the sample is added, 
they are solubilised quickly and form an efficient reaction medium that can 
provide contact between the separate electrodes of the test strip. In this 
manner, the reaction will proceed rapidly and without diffusion baniers. This 

25 reaction configuration is particularly indicated in cases where the sample 
volume is tow, the sample is viscous (such as with whole blood) and a rapid 

reaction is required. 

In a typical embodiment of the Invention, the sensor test strip consists 
of two electrodes, one of which acts as a working electrode and another which 
3 0 acts as a counter, reference electrode. The end of the working electrode that 
is exposed to the sample has a mediator In intimate contact with it. The test 
strip effectively provides a reaction chamber defined by these two electrodes 



wo 00/28068 



PCT/GB99/03764 



3 

and an additional sheet, overlying the electrodes, which has been pre-coated 
with the redox enzyme and any necessary co-factor for that enzyme. The 
reaction chamber may also comprise further sheets of material and/or wetting 
agents, e.g. a surfactant, or cell-lysing materials (which may be placed in any 
5 one of the overlying sheets). In this manner, the active enzyme is not coated 
onto the conductor which forms the working electrode but is provided in a 
separate layer above it which, in turn, effectivelyfonns the solution phase of the 
reaction chamber. When combined v^rith lateral flow, conditions are created that 
approach efficient mixing in a stin-ed reaction chamber. 
Lo In an example of the invention, a silver chloride/silver reference/counter 

electrode is located adjacent to a carbon electrode. Typically, for this purpose, 
a pair of printed carbon electrodes is printed on a non-conducting substrate, 
and then silver/silver chloride is printed on one of the carbon electrodes to 
function as the reference/counter electrode. A non-conducting ink is printed 
15 over the carbon electrodes and the substrate, in order to define a portion of 
each electrode as a contact pad for insertion into a meter and another portion 
on each electrode away from the contact pad as the sensing area where the 
sample is received. 

A mediator for the enzyme cofactor NADH is then prepared and 
20 deposited onto the electrode from aqueous solution by pipetting. Afurther layer 
containing NAD is then deposited onto the working electrode. 

■ A monofilament mesh material Is coated with a surfactant and then with 
a solution containing glucose dehydrogenase via pipetting, ink jet-coating or 
dip-coating, and is placed over the two electrodes to form a reaction chamber. 
25 This reaction chamber may be defined further by additional printing, or by the 
use of a top layer to form an edge fill cavity. For example, a second non- 
conducting ink printed on top of the mesh material, and then a cover tape is 
applied on top of the mesh in such a way as to leave an extended area of the 
mesh exposed for sample application. 
30 The device allows the application of a small volume of sample (typically 

1 |jL or less) to the mesh extension. This is followed by flooding of the device 



wo 00/28068 PCT/GB99/03764 

sensing area with sample, bringing it into intimate contact witli Vne measuring, 
electrodes. 

Devices having an edge fill are described in WO-A-98/55856. They can 
be simply adapted, in accordance with the present/invention. In particular. 
5 reference may be made to Fig. 1 in yVO-A-98/55856; components of this 
invention are the support (1 ), electrodes (2/3), mesh material (6) and tape (7); 
in addition, reagent is provided on the mesh material Such a device can work 
by application at its edge, to a sample. This is particularly valuable in cases 
where it is difficult to extract the sample. Other configurations will be evident 
10 to one skilled in the art, including combinations of one or more of the cofactor, 
mediator or the enzyme coated onto the overlying mesh or membrane sheets. 
The choice of combination may on the reaction kinetics of the various 
compounds. 

In another embodiment of the device, the enzyme or the mediator is 

15 coated on the sheet, the co-factor and the other of the mediator or the enzyme 
are coated onto the working electrode directly, and the sheet is capable of 
filtering the whole blood such that the active electrode sees a sample which is 
effectively free of whole blood cells. In this case, the haematocrit dependency 
of the result is substantially reduced. In this manner, the cell-filtering function 

20 of a selected membrane may be combined with the rapid kinetics of having the 
some or all of the active elements of the reaction (the enzyme, mediator and the 
co-factor) in the membrane, to produce a highly effective device. 

In summary, according to the present invention, a device is constructed 
by depositing one or more of the reagents required for the quantitation of an 

2 5 analyte as a single or multiple layers on a fine mesh material or membrane; the 
deposited areas are of dimensions small enough to wet with a very small 
sample volume. The mesh or membrane can be used in both colorimetric and 
electrochemical devices. 

A characteristic of this invention is that a reagent is applied precisely 

30 onto a target area on a woven material such as polyester or nylon or other 
porous membrane, in use, this provides rapid solubilisation of the reagents in 
the presence of the sample. The reagent or reagents can be applied in a 



wo 00/28068 



PCT/GB99/03764 



5 • 

number of different methods that result in the deposition of a known volume at 
a precise location and in a well-defined foot-print. These include the use of 
dispensing equipment such as a piston pump, syringe pump or on-demand ink- 
jet printer. 

5 In a further embodiment, a flexible tape containing one or more reagents 

may be laminated to another flexible tape on which is printed a series of 
electrodes. Instead of cutting out individual sensors, the laminate (comprising 
a row or series of sensors) may be used sequentially, e.g. on being dispensed 
from a suitable dispenser. For this purpose, whether or not as a laminate, a 

10 tape of the invention may be provided as a roll, and stored in sealed cassettes 
which may also contain desiccant. in use, the cassette may be inserted into a 
automatic dispenser from which the tape is wound out automatically by an 
indexing mechanism to reveal sequentially the discrete sensors. The action of 
this instalment is therefore analogous to the action of a film in a camera In this 

15 embodiment, the tape may also contain a red blood cell-lysing reagent such as 
saponin, in order to reduce the effect of haematocrit and haemoglobin in a 
whole blood sample. The tape may be further protected from moisture by being 
covered with a peelable film (e.g. of aluminium) that is automatically peeled off 
when the tape is dispensed from the cassette. When the sample is applied to 

20 the sensor, the amount of analyte of interest in the sample may be determined 
electrochemically. Such determination can be conducted by known methods. 

The following Example Illustrates the invention. 
Example 

A conductive ink material is printed onto a non-conducting polyester 
25 sheet material by a screen-printing process. The conductive ink material 
consists of a mixture of graphite and carbon particles and a polymer binder in 
an organic solvent. After deposition of the conductive ink, solvents are 
removed in a forced air oven. A silver/silver chloride reference/counter 
electrode is printed onto one of each pair of printed cariaon electrodes followed 
30 by a non-conducting ink layer to define the contact pads and the sensor area. 

A mediator such as Meldola Blue, Nile Blue or other suitable dye and the . 
enzyme co-factor nicotinamide adenine dinucleotide (NAD) are deposited onto 



wo 00/28068 



PCT/GB99/03764 



6 

the carbon electrode. Alternatively, the NAD is applied separately over the 
mediator from an aqueous ink. 

The enzyme glucose dehydrogenase is deposited as uniform spots on 
a monofilament polyester mesh tape. This is achieved as follows: 
5 (a) in a contact mode, where a drop formed at a dispenser lip in 

close proximity to the mesh is allowed to be transferred to the 
mesh by touching off the drop onto the mesh surface; or 
(b) in a non-contact mode, where a drop formed by an ink-jet print- 
head or other orifice above the mesh is dropped onto the mesh 
10 from a distance under conditions which do not cause it to 

penetrate the mesh. 
Upon drying, the spots spread to cover an area defined partly by the 
characteristics of the mesh weave and partly by the application conditions. 
Typically the areas covered by a 500 nL drop is 1.3 x 1 .2 mm. The mesh tape 
15 is allowed to dry at room temperature. 

The enzyme-modified mesh tape is then laminated onto the modified 
sheet of devices and secured further by a non-conducting print. Finally, a cover 
tape is laminated on tope of the mesh. The sheets of devices are disc cut into 
individual devices. In an alternative device format, the laminated sheets are 
2 0 wound and included in a cassette type unit, allowing a single device to be used 
by a wind-on mechanism similar to a camera film-winding system. 



wo 00/28068 



PCT/GB99/03764 



7 

CLAIMS 

1. A test strip comprising a support carrying an active electrode and a 
countereiectrode. and a layer of material within which a small volume of liquid 
to be tested can be distributed and provide contact between the electrodes, and 

5 wherein an analyte-specific reagent is-coated on the material. 

2. A test strip according to claim 1, wherein the reagent is at least one 
component of a redox reaction, e.g. one or more of an enzyme, a mediator 
and/or co-factor for the enzyme. 

3. A test strip according to claim 2. whereih the at least one component 
10 comprises the enzyme. 

4. A test strip according to claim 2 or claim 3, wherein the enzyme is 
glucose oxidase or glucose dehydrogenase. 

5. A test strip according to any preceding claim, wherein the material is a 
monofilament mesh or membrane. 

15 6. A flexible tape of a material within whicti liquid can be distributed and on 
which are coated discrete areas of at least one component of a redox reaction. 

7. A flexible tape according to claim 6, wherein the material is a 
monofilament mesh or membrane. 

8. A container containing a wound tape according to claim 6 or claim 7. 
20 9. A container according to claim 8 also comprising automatic dispensing 

means. 

10., A method for testing a liquid for the presence of an analyte. which 
comprises contacting the liquid with a test strip according to any of claims 1 to 
5, and detecting the current. 
25 11. A method according to claim 10, wherein the liquid is blood and the 
analyte is glucose. 



INTERNATIONAL SEARCH REPORT 



M ionHAwMionlto 

PCT/GB 99/03764 



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BaoUonlo data baseoonMM during the htemattofwieeeroh (name of database and, where pmoHoaLaeerahtenm used) 



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UO 97 02487 A (BOEHRINGER NANNHEIH CORP) 
23 January 1997 (1997-01-23) 
page 1, line 33 -page 8, line 28; figure 
1; table 1 



\!S 5 169 600 A (ISHIZAKA HIDEO 
8 December 1992 (1992-12-08) 
column 8, line 15-34 



ET AL) 



US 5 779 867 A (SHIEH PAUL) 
14 July 1998 (1998-07-14) 
coTunm 4, line 14-21; claims 1-4 
abstract 



1-5,10, 
11 



7-9 
1 

7-9 

1-5,10, 
11 



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Further docunente are l«ted In the oonthuaUon of i>ox C. 



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* Special oatagoifee of dted doounente : 

*A" docunentdelMiothegener^et&teofthe aitwNchlanot 

ooneldered tobe ol paitlouiarielevanoe 
"E* esiDer doounent but pufalihedcn or after tfw kttemaflonal 

fUnQdste 

V doounefrtwfkhfimYtfvo^ 

vvhich ie olted to ewabiMi the plisllcailon date of another 
ollaflon or dheripeoial reeeon (as apecffled) 

'V iloou rayt tefe nInQ to anotal cflagtoiure, uae, eMIttonor 
other means 

"P" doounantptisfafiedprlortothekitefnallonsJ flbng dale but 
later than the priority date dalmed 



T loterdooumentpiiilMiedafterthe bitematlonal Ubig date 
or priority date and not hoonfldviMi the apptatfonfaut 
dted to uidentand the prhciito or theory uideriylnothe 

InvsnHan 

"X" doounentotpai11cdarfelevanoe;theelalmed bwertfon 
cmot be oonaldeied novel or cannot be oonsMeied to 
Involve en InvetHtve step when the dooinentle tahen alone 

■Y" doamertf of parikKiarielevanoe; the claimed Irwertian 
cmot be consldeied to Involve en h)venllve atepwhenthe 
docunentle combined wNh one or more other suchdoou- 
menta^euohcomfahatianbebiQ obvious to a peraonddled 
ki the art. 

"&* document member of the eamepetertfamly 



Date of the actual oompicdon of the hitem&tfonal aeetch 



11 February 2000 



Date of maflng of the bttemadlonal eeeioh report 

24/02/2000 



Name and maOna addiesa of the ISA 

Etnpean Patert Offloe. P.a 5818 Patendasna 

NL-22aOHVRt)Mi(|c 

Tel. (431-70) 340-2040. Tx. 31 851 epo rl. 

Fas (431-70) 340-3018 

Rsm PCTA8AS10 (Mdond ttm^ (J^ lOOS) 



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page 1 of 2 



INTERNATIONAL SEARCH REPORT 



No 



PCT/GB 99/03764 



CL(OonttilMtton) OOCUUEKTS CONStDERED TO BE RELEVANT 



RetovanttodfllnNa 



A.P 



US S 798 031 A (CHARLTON STEVEN C ET AL) 

25 August 1998 (1998-08-25) 

abstract 

column 5, line 22-25 

US 5 628 890 A (CARTER NIGEL F ET AL) 

13 May 1997 (1997-05-13) 

column 3, line 41 -column 4, line 10 

abstract 

EP 0 230 472 A (MATSUSHITA ELECTRIC INO CO 
LTD) 5 August 1987 (1987-08-05) 
page 7, line 14-25 

EP 0 593 096 A (HEDISENSE INC) 

20 April 1994 (1994-04-20) 

page 6, line 57 -page 7, line 3; figure 3 
page 2, line 28-50 

US 4 218 421 A (HACK JOHN C JR ET AL) 

19 August 1980 (1980-08-19) 

column 2, line 43 -column 4, line 53 

US 5 679 311 A (HARHIS HERBERT ET AL) 

21 October 1997 (1997-10-21) 
abstract; figure 2A 

UO 99 13100 A (ABBOn LAB) 
18 March 1999 (1999-03-18) 
abstract; figure 1 



1-5.10, 
11 

6-8 

1-5,10, 
11 



1-5,10, 
11 



6-9 
1 

6-9 

&-8 



page 2 of 2 



INTERNATIONAL SEARCH REPORT 



PCT/6B 99/03764 







PtMcBllen 




Patent famly 


PiMcaflon 


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yO 9702487 


A 


23-01-1997 


US 


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AU 


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AU 


6345196 A 


05-02-1997 






CA 


2224308 A 


23-01-1997 






EP 


0874984 A 


04-11-1998 




A 


08-12-1992 


JP 

VI 


1020454 A 


24-01-1989 






JP 


2119175 C 


06-12-1996 






JP 


8020453 B 


04-03-1996 






JP 


1020455 A 


24-01-1989 






JP 


2119176 C 


06-12-1996 






JP 


8020454 B 


04-03-1996 






VI 


1080865 A 


27-03-1989 

WW *^ww 






JP 


1080866 A 


27-03-1989 






DE 


3853700 D 


08-06-1995 






DE 


3853700 T 

WW%rv# WV 1 


07-09-1995 






EP 

bl 


0299519 A 

Wb99^A7 r* 


18-01-1989 






US 


5122343 A 


16-06-1992 

AW WW A^^fc 


US 5779867 


A 


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04-06-1996 




US 


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08-07-1997 


US 5798031 


A 


25-08-1998 


AU 


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12-11-1998 






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EP 


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CA 


1313397 A 


02-02-1993 






EP 


0352138 A 


24-01-1990 






JP 


2112752 A 


25-04-1990 






US 


5126034 A 


30-06-1992 


US 4218421 


A 


. 19-08-1980 


NONE 







Fomi PGT/l8Aft10 (pBtmt fsmly miO <*Uy 1 M2) 



page 1 of 2 



INTERNATIONAL SEARCH REPORT 



PCT/6B 99/03764 



Patort document 
cSsd In 888fch report 


PiMcalfon 
(Sato 


Patantfamly 
nwinbM(a) 


PiMofloh 
dais 


us 5679311 A 


21-10-199/ 


DE 


4326339 A 






EP 


0637749 A 


08-02-1995 






JP 


2610109 B 


14-05-1997 






JP 


7077528 A 


20-03-1995 






US 


5609823 A 


11-03-1997 


WO 9913100 A 


18-03-1999 


AU 


9129798 A 


29-03-1999 



Fm PCT/BM»0 (POM IMy «nrai« (lUy lOSQ 



page 2 of 2 



THIS PA6B SUNK (imo)